HomeMy WebLinkAboutPermit Electrical 1994-6-17
W NEW LICENSE
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PHONE NUMBER: _747-2195
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THIS LICENSE IS NONTRANSFERABLE ~
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CITY OF SPRINGFIELD
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RENEWAL
BUSINESS LICENSE
FINANCE CONTROL COPY
LICENSE NO, 940370
AMOUNT REC'D, $40. 00
DATE 6/30/94
# OF UNITS
LICENSE Typl=.
ALARM SYSTEM
EXPIAl=c:..
INDEFINITE
BUSINESS NAME: --lAMES l!o HF.J.EN FRRRI S
~~~i:R1EMPLOYEE ,Jill1[S l!o HELEN FARRIS
BUSINESS
LOCATION:
2015 DEBRA DRIVE
MAILING
AODRESc:..
2015 DEBRA DRIVE
CITY, STATE, ZIP:
SPRINGFIELD OR 97477
CITY, STATE, ZIP:
SPRINGFIELD OR 97477
PHONE NUMBER:
747-2195
LICENSE APPROVAL
APPROVED:
COMMENTS:
YD:
,ps:
ROUTED
JUL 7
1994
DATE
DATE
DATE
DATE
4P~'WIJED ./111 7 1994
BUSiNESS LICENSE SUPERVISOR
DATE
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AL~ SYSTEM PERMIT
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CITY OF SPRINGFIELD
DEVELOPMENT SERVICES
225 FIFTH STREET
SPRINGFIELD OR 97477
DATE: /..-ll-lL)
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L...-i Ire\'E'SS
IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS
LOCATION?
RESIDENTIAL
~BUSINESS
If a residentially installed system, please complete questions
1 through 6. ,If the system is being installed at a business
location, please complete questions 7 through 13.
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1. Name: ,\ IH'\II~~ *' _' H", - ^ 53..rf/ S
2. Address: 20 I S ~ bY' '1 Dr"; U'P,
City: ,<::',cyr'IIUJ f~e\d State: O(9T1l( Zip: ~/477 '
3. Phone Number:.2.!L7-:J.I.5 S 4. Date of Birth:03 .;2:2.};;10 (j)..~S
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5. Is the system being installed by the homeowner? Yes
No X
If no, then indicate the company that will be installing the alarm
system:
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6. Date of installation: "'.h- 17- c; l-I
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7. Business name (only if system vas installed in business):
8. Owner Name:
9. Owner date of birth:
10. Business address:
City: State:
11. Phone Number:
Zip:
12. Company that installed alarm system:
13. Date of installation:
ELECTRICAL PERMIT REQUIRED
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